Chronic pain and its impact on quality of life in adolescents and their families
Chronic pain and its impact on quality of life in adolescents and their families
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DOI：
10.1093/jpepsy/26.3.145
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发表时间：
2001-04-01
影响因子：
3.6
通讯作者：
van der Wouden, JC
中科院分区：
文献类型：
--
作者：
Hunfeld, JAM;Perquin, CW;van der Wouden, JC
目的：研究青少年中非躯体疾病引起的慢性疼痛以及疼痛对青少年及其家庭生活质量的影响。方法：128名曾报告慢性疼痛的青少年（12-18岁）记录疼痛日记，为期3周，并完成生活质量调查问卷。他们的母亲完成了一份关于孩子的疼痛对家庭影响的调查问卷。结果：最常见的疼痛是四肢疼痛、头痛、腹部和背部疼痛。白天疼痛加剧，晚餐时间出现频率最高，就寝时间强度最高。女孩报告的疼痛比男孩更严重、更频繁。疼痛的强度和频率越高，女性或男性青少年自我报告的生活质量越低，特别是在心理功能（例如感觉不太自在）、身体状况（其他躯体不适的发生率更高）和功能状态（休闲和日常活动的障碍更多）方面。慢性疼痛也对家庭生活产生负面影响。母亲们报告说，她们受到限制，特别是在社交生活方面，以及处理青少年疼痛压力方面的问题。结论：慢性疼痛，不是由躯体疾病引起的，在女孩中出现的程度更高；白天疼痛加剧，对青少年及其家庭的生活质量产生负面影响。未来需要进行旨在确定儿童和青少年慢性疼痛以及与疼痛相关的生活质量的危险因素的研究。
Objective: To study chronic pain not caused by somatic disease in adolescents and the effect of pain on the quality of life of the adolescents and their families.Methods: One hundred twenty-eight youngsters (12-18 years) who had reported chronic pain kept a 3-week diary of their pain and completed a questionnaire on quality of life. Their mothers completed a questionnaire on the impact of their youngster's pain on the family.Results: The most prevalent pains were limb pain, headache, abdominal, and back pain. The pain increased during the day, with the highest frequency around dinnertime and the highest intensity around bedtime. Girls reported more intense and more frequent pain than boys. The higher the intensity and frequency of the pain, the lower the self-reported quality of life of the female or male adolescent, especially regarding psychological functioning (e.g. feeling less at ease), physical status (a greater incidence of other somatic complaints), and functional status (more impediments to leisure and daily activities). Chronic pain also had a negative impact on family life. The mothers reported restrictions, particularly in social life, and problems dealing with the stress of the adolescent's pain.Conclusions: Chronic pain, not caused by somatic disease, was present to a higher degree in girls; the pain increased during the day and had a negative impact on quality of life of the adolescents and the family. There is a need for future research aimed at identifying risk factors for chronic pain and pain-associated quality of life in children and adolescents.